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PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING /SIGN / SPRINKLER ! DEMOLITION <br /> #0.- ''-404140r CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3815 SHORE AVE EVERETT PROPERTY TAX#: 00433600001800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: JOHN KENNEDY TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2417 119TH ST SW <br /> CITY EVERETT 98204 STATE WA ZIP 98204 <br /> OWNER PHONE: 425-249-2382 OWNER EMAIL: <br /> CONTRACTOR NAME: WOLFE PLUMBING INC <br /> CONTRACTOR ADDRESS: STREET 17321 TYE ST <br /> ciTY MONROE STATE WA ZIP 98272 <br /> CONTRACTOR PHONE: 425-387-7922 / --_':i CONTRACTOR EMAIL: MIKEA@WOLFEPI.COM <br /> CONTRACTOR LICENSE#(REQUIRED): ,(_„4.2C,,(_„4.2C, - _(/J } _ J CITY OF EVERETT BUSINESS LICENSE#(REQUIi ED): ..30-(1C.,:•-•Vo <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-387-7922 <br /> MIKE ANNUNZIATA CONTACT EMAIL: MIKEA@WOLFEPI.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $22 000.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> plumbing for new house <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> _ MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> Fixtures List of Fixtures Fi#ures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <br /> A/C—Air Handling Units Heat Pump y Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater / Bathtub Urinal <br /> Gas Piping Boiler 7 Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration 7 Shower Floor Drain <br /> Gas Fireplace Wood Stove i Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains _ <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> _Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PE' <br /> 6/27/A2e/r <br /> Owner/ thorize Agent Signatu Date (Revised 9/23VC) <br />